CCA ACO LLC | CareGraph

MSSP Performance — Key Metrics

Assigned Beneficiaries

12,310 p45

Savings Rate

2.46% p30

Quality Score

86.98 p69

Per Capita Expenditure, Total ($)

$13,739 p73

Generated Savings/Losses ($)

$4,171,832

Earned Savings/Losses ($)

$3,066,296

Updated Benchmark ($)

$14,086 p68

Bottom quartile Middle Top quartile MSSP median shown in gray · Peer median in blue

Program Structure

Current Track	EN
Agreement Type	Renewal
Agreement Period	4
Start Date	1/1/2022
Risk Model ?	Two-Sided
Assignment Type ?	Prospective
SNF 3-Day Waiver ?	✓

Financial Performance

Step-by-step savings calculation from historical benchmark to earned savings/losses.

Step	Description	Value	MSSP Median	Peer Median
1	Assigned Beneficiaries	12,310 p45	13,159	13,446
2	Historical Benchmark (per capita)	$12,253 p69	$11,439	$12,727
3	Regional Adjustment	+$448
4	Prior Savings Adjustment	+-
5	Adjustment Category	Regional Adjustment
6	Updated Benchmark (per capita)	$14,086 p68	$13,279	$14,877

7	Total Benchmark (all beneficiaries)	$169,290,061
8	Total Expenditure (all beneficiaries)	$165,118,230
9	Per Capita Expenditure (PY)	$13,739 p73	$12,693	$14,230
10	Generated Savings / Losses	$4,171,832	$6,931,306	—

11	Savings Rate	2.46% p30	4.21%	4.97%
12	Minimum Savings Rate (threshold)	0.00%
13	Guardrail Applied	—
14	Final Shared Savings Rate	75.00%
15	Final Shared Loss Rate	40.00%
16	Earned Savings / Losses	$3,066,296	$3,685,876	—

	Revenue-to-Expense Category	Low Revenue

Per Capita Expenditure by Population Segment

Annual per-beneficiary expenditure across benchmark years (BY1–BY3) and the performance year (PY). Includes Parts A and B FFS spending.

Population Segment	BY1	BY2	BY3	PY	Trend	Risk-Adj. Expected	Difference
End-Stage Renal Disease (ESRD)	$91,342	$94,440	$105,879	$101,565	↑	$96,107	+$5,458
Disabled	$10,541	$9,025	$10,489	$10,259	→	$11,906	−$1,647
Aged, Dual-Eligible	$17,840	$14,991	$15,819	$18,709	↑	$19,085	−$376
Aged, Non-Dual	$11,302	$9,608	$10,790	$13,311	↑	$13,940	−$629
Total				$13,739		$12,693	$14,230

Risk Scores

Hierarchical Condition Category risk scores. A score of 1.0 = national average. Below 1.0 means the population is healthier than average.

CMS-HCC Risk Scores

Population Segment	BY1	BY2	BY3	PY	Trend	Coding Gap	MSSP Med.
End-Stage Renal Disease (ESRD)	1.093	1.071	1.097	1.029	↓	+0.035	0.967
Disabled	1.077	1.076	1.099	0.986	↓	-0.038	0.934
Aged, Dual-Eligible	1.030	1.037	1.056	1.008	→	+0.006	0.954
Aged, Non-Dual	1.177	1.195	1.198	1.156	→	+0.068	0.983

Demographic Risk Scores

Demographic-only risk scores (age/sex/Medicaid status). Compared with HCC risk scores, the difference reflects clinical coding intensity.

Population Segment	BY3	PY
End-Stage Renal Disease (ESRD)	—	0.994
Disabled	—	1.024
Aged, Dual-Eligible	—	1.002
Aged, Non-Dual	—	1.088

Risk Redistribution Weights (PY)

Fraction of the ACO's total risk attributable to each population segment.

ESRD Weight	2.8%
Disabled Weight	8.1%
Aged Dual Weight	9.9%
Aged Non-Dual Weight	79.2%

Beneficiary Demographics

Distribution of 12,310 assigned beneficiaries by age, gender, and race/ethnicity.

Age Distribution

Age 0–64

9.0%

Age 65–74

40.7%

Age 75–84

34.7%

Age 85+

15.6%

Gender

Female

57.8%

Male

42.2%

Race / Ethnicity

White

78.0%

Black

16.0%

Hispanic

0.0%

Asian

1.5%

Native American

0.0%

Other

1.5%

Unknown

2.5%

Special Populations

11.47% p75 Dual-Eligible (MSSP median: 6.9%)

1.27% p66 Long-Term Institutionalized (MSSP median: 0.89%)

64 VA Beneficiaries

Enrollment by Category (Person-Years)

Category	BY3	PY
ESRD	84	42
Disabled	2,155	1,055
Aged, Dual-Eligible	1,536	859
Aged, Non-Dual	11,735	10,062
Total (PY)		12,018

Per Capita Spending by Service Category

Annual per-beneficiary spending by care setting. Bar shows this ACO's share; red marker shows MSSP median share.

Service Category	This ACO	% Share	MSSP Median	Peer Median
Inpatient — All	$4,093 p83	28.8%	$3,410	$3,866
Inpatient — Short-Term Acute	$3,562		$2,914	—
Inpatient — Long-Term	$152		$59	—
Inpatient — Rehab	$379		$367	—
Inpatient — Psychiatric	$49		$37	—
Hospice	$583	4.1%	$258	$396
Skilled Nursing Facility	$926 p76	6.5%	$655	$891
Outpatient	$2,459 p24	17.3%	$3,078	$2,841
Physician / Supplier (Part B)	$4,834 p67	34.1%	$4,341	$5,382
Ambulance	$156	1.1%	$134	$138
Home Health	$642	4.5%	$470	$646
Durable Medical Equipment	$496	3.5%	$405	$367

Utilization — Admissions & Visits

Rates per 1,000 assigned beneficiaries unless otherwise noted.

41.2% ED-to-Hospitalization Conversion Rate

1.06:1 PCP-to-Specialist Visit Ratio

Metric	This ACO	MSSP Median	Peer Median
Hospital Admissions (per 1,000)	339 p95	251	277
Short-Term Acute Admissions (per 1,000)	315	229	—
Long-Term Admissions (per 1,000)	3	1	—
Rehab Admissions (per 1,000)	16	15	—
Psychiatric Admissions (per 1,000)	4	3	—
ED Visits (per 1,000)	663 p68	618	596
ED Visits Resulting in Hospitalization (per 1,000)	273	179	—
CT Scans (per 1,000)	751 p49	751	753
MRI Scans (per 1,000)	222 p30	247	285
E&M Visits — Total (per 1,000)	13,656	12,433	—
E&M Visits — Primary Care (per 1,000)	6,086 p84	4,192	5,159
E&M Visits — Specialist (per 1,000)	5,768 p71	4,821	6,218
Nurse Practitioner Visits (per 1,000)	1,754 p18	2,464	2,669
FQHC / RHC Visits (per 1,000)	49 p34	160	36
SNF Admissions (per 1,000)	69	40	52
SNF Average Length of Stay (days)	24 p12	27	28
SNF Average Payment per Stay	$12,527 p8	$15,338	$15,508

Provider Composition

Facilities

Hospitals	0
Critical Access Hospitals	0
FQHCs	7
Rural Health Clinics	0
Extension of Treatment Areas	0
Other Facilities	1

Clinicians

Primary Care Physicians	160
Specialists	103
Nurse Practitioners	97
Physician Assistants	60
Clinical Nurse Specialists	0

CAHPS Patient Experience

Consumer Assessment of Healthcare Providers and Systems survey scores (0–100 scale). Gray marker = MSSP median. Blue marker = peer median.

Getting Timely Care, Appointments & Information p69

86.3

How Well Providers Communicate p56

94.4

Patient's Rating of Provider p21

91.3

Access to Specialists p85

80.2

Health Promotion & Education p74

68.5

Shared Decision-Making p91

67.8

Health Status / Functional Status p87

76.7

Courteous & Helpful Office Staff p20

84.4

Care Coordination p46

93.1

Stewardship of Patient Resources p65

28.9

Clinical Quality Measures

MSSP quality measures. Measures marked "lower is better" are inverted — a lower score indicates better performance.

Measure	This ACO	MSSP Median	Peer Median
Overall Quality Score (Composite) p69	86.98	83.13	84.96
All-Cause Unplanned Admissions (risk-adjusted rate) (lower is better) ? p85	0.16	0.15	0.15
Risk-Standardized All-Condition Readmission Rate (lower is better) ?	-	36.11	33.46
Falls: Screening for Future Fall Risk p72	95.55	91.53	91.53
Influenza Immunization p57	71.19	70.06	70.51
Tobacco Use: Screening & Cessation Intervention p88	100.00	82.86	88.89
Colorectal Cancer Screening p50	80.24	80.23	80.79
Breast Cancer Screening p60	83.78	82.59	82.03
Statin Therapy for CVD Prevention p22	83.73	87.36	87.69
Depression Remission at 12 Months p58	16.22	14.29	10.71
Depression Screening & Follow-Up Plan p53 Reporting pathways Web Interface: 84.59 eCQM: - MIPS CQM: - Medicare CQM: -	84.59	83.73	80.86
Diabetes: HbA1c Poor Control (>9%) (lower is better) p50 Reporting pathways Web Interface: 8.46 eCQM: - MIPS CQM: - Medicare CQM: -	8.46	8.44	7.98
Controlling High Blood Pressure p89 Reporting pathways Web Interface: 88.08 eCQM: - MIPS CQM: - Medicare CQM: -	88.08	80.24	84.92

Quality Reporting Flags

✓ Met Quality Performance Standard (QPS)

? Met Alternative QPS

✓ Met 40th Percentile Threshold

✓ Met SSP Quality Reporting Requirements

✓ Reported via Web Interface

✗ Reported via eCQM / CQM / Medicare CQM

✗ First-Year ACO Quality Pass

✗ Met Incentive Threshold

✗ Received 40th Percentile Bonus

✗ Disaster / Affected Quality Waiver Applied

Peer Cohort

30 similar mid-size, ENHANCED-track, above-average acuity, physician-led ACOs

View 30 peer ACOs

A5080 A4862 A3327 A1199 A5386 A1522 A2000 A4894 A5249 A4922 A1403 A4964 A1242 A4551 A5300 A4775 A4979 A2205 A5387 A3235 A5355 A2021 A2809 A5056 A5360 A5357 A2490 A1059 A4709 A2107

Peers selected using weighted distance across 15 structural features (population acuity, composition, scale, care infrastructure, assignment type) within the ENHANCED track partition. Learn more

All Data

Every labeled MSSP field for this ACO, with national medians and percentiles where a benchmark is available.

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Show 185 rows

Source	Metric	Value	National Median	Pctl.	Raw key
Beneficiary Demographics	Age 0–64	1,107	1,168		`N_Ben_Age_0_64`
Beneficiary Demographics	Age 65–74	5,013	6,091		`N_Ben_Age_65_74`
Beneficiary Demographics	Age 75–84	4,273	4,264		`N_Ben_Age_75_84`
Beneficiary Demographics	Age 85+	1,917	1,534		`N_Ben_Age_85plus`
Beneficiary Demographics	Aged Dual (BY3)	1,536	796		`N_AB_Year_AGED_Dual_BY3`
Beneficiary Demographics	Aged Dual (PY)	859	614		`N_AB_Year_AGED_Dual_PY`
Beneficiary Demographics	Aged Non-Dual (BY3)	11,735	11,181		`N_AB_Year_AGED_NonDual_BY3`
Beneficiary Demographics	Aged Non-Dual (PY)	10,062	10,940		`N_AB_Year_AGED_NonDual_PY`
Beneficiary Demographics	Asian	183	140		`N_Ben_Race_Asian`
Beneficiary Demographics	Black	1,968	673		`N_Ben_Race_Black`
Beneficiary Demographics	CBA and VA	45	75		`N_Ben_CBA_and_VA`
Beneficiary Demographics	CBA Only	12,246	13,232		`N_Ben_CBA_Only`
Beneficiary Demographics	Disabled (BY3)	2,155	1,369		`N_AB_Year_DIS_BY3`
Beneficiary Demographics	Disabled (PY)	1,055	902		`N_AB_Year_DIS_PY`
Beneficiary Demographics	Dual-Eligible (%)	11.47%	6.89%	p75	`Perc_Dual`
Beneficiary Demographics	Dual-Eligible (PY)	1,378	1,011		`N_AB_Year_Dual_PY`
Beneficiary Demographics	ESRD (BY3)	84	80		`N_AB_Year_ESRD_BY3`
Beneficiary Demographics	ESRD (PY)	42	50		`N_AB_Year_ESRD_PY`
Beneficiary Demographics	Female	7,121	7,529		`N_Ben_Female`
Beneficiary Demographics	Hispanic	*	163		`N_Ben_Race_Hisp`
Beneficiary Demographics	Long-Term Institutionalized (%)	1.27%	0.89%	p66	`Perc_LTI`
Beneficiary Demographics	Male	5,189	5,674		`N_Ben_Male`
Beneficiary Demographics	Native American/Alaska Native	*	28		`N_Ben_Race_Native`
Beneficiary Demographics	Non-Dual (PY)	10,639	11,332		`N_AB_Year_NonDual_PY`
Beneficiary Demographics	Other	183	150		`N_Ben_Race_Other`
Beneficiary Demographics	Total Person-Years (PY)	12,018	12,891		`N_AB_Year_PY`
Beneficiary Demographics	Unknown	304	347		`N_Ben_Race_Unknown`
Beneficiary Demographics	VA Only	19	35		`N_Ben_VA_Only`
Beneficiary Demographics	White	9,606	11,625		`N_Ben_Race_White`
CAHPS Patient Experience	Access to Specialists	80.15	75.90	p85	`CAHPS_4`
CAHPS Patient Experience	Care Coordination	93.10	93.24	p46	`CAHPS_9`
CAHPS Patient Experience	Courteous & Helpful Office Staff	84.41	86.22	p20	`CAHPS_8`
CAHPS Patient Experience	Getting Timely Care, Appointments & Information	86.33	84.11	p69	`CAHPS_1`
CAHPS Patient Experience	Health Promotion & Education	68.51	65.66	p74	`CAHPS_5`
CAHPS Patient Experience	Health Status / Functional Status	76.71	74.69	p87	`CAHPS_7`
CAHPS Patient Experience	How Well Providers Communicate	94.43	94.26	p56	`CAHPS_2`
CAHPS Patient Experience	Patient's Rating of Provider	91.32	92.70	p21	`CAHPS_3`
CAHPS Patient Experience	Shared Decision-Making	67.79	62.57	p91	`CAHPS_6`
CAHPS Patient Experience	Stewardship of Patient Resources	28.85	27.09	p65	`CAHPS_11`
Clinical Quality Measures	All-Cause Unplanned Admissions (risk-adjusted rate)	0.16	0.15	p85	`Measure_479`
Clinical Quality Measures	Breast Cancer Screening	83.78	82.59	p60	`QualityID_112`
Clinical Quality Measures	Colorectal Cancer Screening	80.24	80.23	p50	`QualityID_113`
Clinical Quality Measures	Controlling High Blood Pressure (eCQM)	-	70.95		`QualityID_236_eCQM`
Clinical Quality Measures	Controlling High Blood Pressure (Medicare CQM)	-	64.97		`QualityID_236_MedicareCQM`
Clinical Quality Measures	Controlling High Blood Pressure (MIPS CQM)	-	74.09		`QualityID_236_MIPSCQM`
Clinical Quality Measures	Controlling High Blood Pressure (Web Interface)	88.08	80.24	p89	`QualityID_236_WI`
Clinical Quality Measures	Depression Remission at 12 Months	16.22	14.29	p58	`QualityID_370`
Clinical Quality Measures	Depression Screening (eCQM)	-	56.73		`QualityID_134_eCQM`
Clinical Quality Measures	Depression Screening (Medicare CQM)	-	79.70		`QualityID_134_MedicareCQM`
Clinical Quality Measures	Depression Screening (MIPS CQM)	-	61.02		`QualityID_134_MIPSCQM`
Clinical Quality Measures	Depression Screening (Web Interface)	84.59	83.73	p53	`QualityID_134_WI`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (eCQM)	-	27.96		`QualityID_001_eCQM`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (Medicare CQM)	-	29.76		`QualityID_001_MedicareCQM`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (MIPS CQM)	-	24.41		`QualityID_001_MIPSCQM`
Clinical Quality Measures	Diabetes: HbA1c Poor Control >9% (Web Interface)	8.46	8.44	p50	`QualityID_001_WI`
Clinical Quality Measures	Falls: Screening for Future Fall Risk	95.55	91.53	p72	`QualityID_318`
Clinical Quality Measures	Influenza Immunization	71.19	70.06	p57	`QualityID_110`
Clinical Quality Measures	Overall Quality Score (Composite)	86.98	83.13	p69	`QualScore`
Clinical Quality Measures	Risk-Standardized All-Condition Readmission Rate	-	36.11		`Measure_484`
Clinical Quality Measures	Statin Therapy for Cardiovascular Disease Prevention	83.73	87.36	p22	`QualityID_438`
Clinical Quality Measures	Tobacco Use: Screening & Cessation Intervention	100.00	82.86	p88	`QualityID_226`
Demographic Risk Scores	Aged, Dual-Eligible (PY)	1.002	1.014		`Demog_RiskScore_AGDU_PY`
Demographic Risk Scores	Aged, Non-Dual (PY)	1.088	1.005		`Demog_RiskScore_AGND_PY`
Demographic Risk Scores	Disabled (PY)	1.024	0.979		`Demog_RiskScore_DIS_PY`
Demographic Risk Scores	End-Stage Renal Disease (ESRD) (PY)	0.994	0.987		`Demog_RiskScore_ESRD_PY`
Financial Performance	Adjustment Category	Regional Adjustment	—		`FinalAdjCat`
Financial Performance	Advance Investment Payment	✗	✗		`AIP`
Financial Performance	AIP Balance	-	$1,393,483		`AIPBalance`
Financial Performance	AIP Owed	-	$890,006		`AIPOwe`
Financial Performance	AIP Recouped	-	$280,273		`AIPRecoup`
Financial Performance	Assigned Beneficiaries	12,310	13,159	p45	`N_AB`
Financial Performance	Benchmark Minus Expenditure	$4,171,832	$7,074,069		`BnchmkMinExp`
Financial Performance	Disaster Adjustment	$0	$0		`DisAdj`
Financial Performance	Earned Savings / Losses	$3,066,296	$3,685,876		`EarnSaveLoss`
Financial Performance	Final Shared Loss Rate	40.00%	40.00%		`FinalLossRate`
Financial Performance	Final Shared Savings Rate	75.00%	50.00%		`FinalShareRate`
Financial Performance	Generated Savings / Losses	$4,171,832	$6,931,306		`GenSaveLoss`
Financial Performance	Guardrail Applied	-	✗		`Guardrail`
Financial Performance	Historical Benchmark (per capita)	$12,253	$11,439	p69	`HistBnchmk`
Financial Performance	Mid-Year Termination Impact	$0	$0		`Impact_Mid_Year_Termination`
Financial Performance	Minimum Savings Rate (threshold)	0.00%	2.00%		`MinSavPerc`
Financial Performance	Per Capita Expenditure (PY)	$13,739	$12,693	p73	`Per_Capita_Exp_TOTAL_PY`
Financial Performance	Prior Savings Adjustment	-	$156		`PriorSavAdj`
Financial Performance	Reduced Shared Savings	✗	✗		`ReducedSS`
Financial Performance	Regional Adjustment	$448	$182		`RegAdj`
Financial Performance	Revenue-to-Expense Category	Low Revenue	—		`Rev_Exp_Cat`
Financial Performance	Savings Rate	2.46%	4.21%	p30	`Sav_rate`
Financial Performance	Total Benchmark (all beneficiaries)	$169,290,061	$177,890,820		`ABtotBnchmk`
Financial Performance	Total Expenditure (all beneficiaries)	$165,118,230	$167,748,494		`ABtotExp`
Financial Performance	Updated Benchmark (per capita)	$14,086	$13,279	p68	`UpdatedBnchmk`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY1)	$17,840	$15,751		`Per_Capita_Exp_ALL_AGDU_BY1`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY2)	$14,991	$15,879		`Per_Capita_Exp_ALL_AGDU_BY2`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (BY3)	$15,819	$16,313		`Per_Capita_Exp_ALL_AGDU_BY3`
Per Capita Expenditure by Population Segment	Aged, Dual-Eligible (PY)	$18,709	$18,934		`Per_Capita_Exp_ALL_AGDU_PY`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY1)	$11,302	$9,631		`Per_Capita_Exp_ALL_AGND_BY1`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY2)	$9,608	$9,541		`Per_Capita_Exp_ALL_AGND_BY2`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (BY3)	$10,790	$10,288		`Per_Capita_Exp_ALL_AGND_BY3`
Per Capita Expenditure by Population Segment	Aged, Non-Dual (PY)	$13,311	$12,059		`Per_Capita_Exp_ALL_AGND_PY`
Per Capita Expenditure by Population Segment	Disabled (BY1)	$10,541	$10,226		`Per_Capita_Exp_ALL_DIS_BY1`
Per Capita Expenditure by Population Segment	Disabled (BY2)	$9,025	$10,191		`Per_Capita_Exp_ALL_DIS_BY2`
Per Capita Expenditure by Population Segment	Disabled (BY3)	$10,489	$10,605		`Per_Capita_Exp_ALL_DIS_BY3`
Per Capita Expenditure by Population Segment	Disabled (PY)	$10,259	$12,075		`Per_Capita_Exp_ALL_DIS_PY`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY1)	$91,342	$84,276		`Per_Capita_Exp_ALL_ESRD_BY1`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY2)	$94,440	$84,661		`Per_Capita_Exp_ALL_ESRD_BY2`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (BY3)	$105,879	$88,267		`Per_Capita_Exp_ALL_ESRD_BY3`
Per Capita Expenditure by Population Segment	End-Stage Renal Disease (ESRD) (PY)	$101,565	$93,398		`Per_Capita_Exp_ALL_ESRD_PY`
Per Capita Spending by Service Category	Ambulance	$156	$134		`CapAnn_AmbPay`
Per Capita Spending by Service Category	Durable Medical Equipment	$496	$405		`CapAnn_DME`
Per Capita Spending by Service Category	Home Health	$642	$470		`CapAnn_HHA`
Per Capita Spending by Service Category	Hospice	$583	$258		`CapAnn_HSP`
Per Capita Spending by Service Category	Inpatient — All	$4,093	$3,410	p83	`CapAnn_INP_All`
Per Capita Spending by Service Category	Inpatient — Long-Term	$152	$59		`CapAnn_INP_L_trm`
Per Capita Spending by Service Category	Inpatient — Psychiatric	$49	$37		`CapAnn_INP_Psych`
Per Capita Spending by Service Category	Inpatient — Rehab	$379	$367		`CapAnn_INP_Rehab`
Per Capita Spending by Service Category	Inpatient — Short-Term Acute	$3,562	$2,914		`CapAnn_INP_S_trm`
Per Capita Spending by Service Category	Outpatient	$2,459	$3,078	p24	`CapAnn_OPD`
Per Capita Spending by Service Category	Physician / Supplier (Part B)	$4,834	$4,341	p67	`CapAnn_PB`
Per Capita Spending by Service Category	Skilled Nursing Facility	$926	$655	p76	`CapAnn_SNF`
Program Structure	ACO ID	A2198	—		`ACO_ID`
Program Structure	ACO Name	CCA ACO LLC	—		`ACO_Name`
Program Structure	Agreement Period	4	2		`Agreement_Period_Num`
Program Structure	Agreement Type	Renewal	—		`Agree_Type`
Program Structure	Assignment Type	Prospective	—		`Assign_Type`
Program Structure	Current Track	EN	—		`Current_Track`
Program Structure	Risk Model	Two-Sided	—		`Risk_Model`
Program Structure	SNF 3-Day Waiver	✓	✗		`SNF_Waiver`
Program Structure	Start Date	1/1/2022	—		`Current_Start_Date`
Provider Composition	Clinical Nurse Specialists	0	0		`N_CNS`
Provider Composition	Critical Access Hospitals	0	0		`N_CAH`
Provider Composition	Extension of Treatment Areas	0	0		`N_ETA`
Provider Composition	FQHCs	7	0		`N_FQHC`
Provider Composition	Hospitals	0	0		`N_Hosp`
Provider Composition	Nurse Practitioners	97	215		`N_NP`
Provider Composition	Other Facilities	1	0		`N_Fac_Other`
Provider Composition	Physician Assistants	60	89		`N_PA`
Provider Composition	Primary Care Physicians	160	206		`N_PCP`
Provider Composition	Rural Health Clinics	0	0		`N_RHC`
Provider Composition	Specialists	103	300		`N_Spec`
Quality Reporting Flags	Disaster / Affected Quality Waiver Applied	✗	✗		`DisAffQual`
Quality Reporting Flags	First-Year ACO Quality Pass	✗	✗		`Met_FirstYear`
Quality Reporting Flags	Met 40th Percentile Threshold	✓	✓		`Met_40pctl`
Quality Reporting Flags	Met Alternative QPS	-	✓		`Met_AltQPS`
Quality Reporting Flags	Met Incentive Threshold	✗	✗		`Met_Incentive`
Quality Reporting Flags	Met Quality Performance Standard (QPS)	✓	✓		`Met_QPS`
Quality Reporting Flags	Met SSP Quality Reporting Requirements	✓	✓		`Met_SSP_quality_reporting_requirements`
Quality Reporting Flags	Received 40th Percentile Bonus	✗	✗		`Recvd40p`
Quality Reporting Flags	Reported via eCQM / CQM / Medicare CQM	✗	✗		`Report_eCQM_CQM_MedicareCQM`
Quality Reporting Flags	Reported via Web Interface	✓	✓		`Report_WI`
Risk Redistribution Weights	Aged Dual Weight	0.10%	0.06%		`RR_weight_AGDU_PY`
Risk Redistribution Weights	Aged Non-Dual Weight	0.79%	0.85%		`RR_weight_AGND_PY`
Risk Redistribution Weights	Disabled Weight	0.08%	0.06%		`RR_weight_DIS_PY`
Risk Redistribution Weights	ESRD Weight	0.03%	0.03%		`RR_weight_ESRD_PY`
Risk Scores	Aged, Dual-Eligible (BY1)	1.030	0.994		`CMS_HCC_RiskScore_AGDU_BY1`
Risk Scores	Aged, Dual-Eligible (BY2)	1.037	0.988		`CMS_HCC_RiskScore_AGDU_BY2`
Risk Scores	Aged, Dual-Eligible (BY3)	1.056	0.983		`CMS_HCC_RiskScore_AGDU_BY3`
Risk Scores	Aged, Dual-Eligible (PY)	1.008	0.954	p66	`CMS_HCC_RiskScore_AGDU_PY`
Risk Scores	Aged, Non-Dual (BY1)	1.177	0.993		`CMS_HCC_RiskScore_AGND_BY1`
Risk Scores	Aged, Non-Dual (BY2)	1.195	0.992		`CMS_HCC_RiskScore_AGND_BY2`
Risk Scores	Aged, Non-Dual (BY3)	1.198	0.996		`CMS_HCC_RiskScore_AGND_BY3`
Risk Scores	Aged, Non-Dual (PY)	1.156	0.983	p94	`CMS_HCC_RiskScore_AGND_PY`
Risk Scores	Disabled (BY1)	1.077	0.974		`CMS_HCC_RiskScore_DIS_BY1`
Risk Scores	Disabled (BY2)	1.076	0.967		`CMS_HCC_RiskScore_DIS_BY2`
Risk Scores	Disabled (BY3)	1.099	0.965		`CMS_HCC_RiskScore_DIS_BY3`
Risk Scores	Disabled (PY)	0.986	0.934	p68	`CMS_HCC_RiskScore_DIS_PY`
Risk Scores	End-Stage Renal Disease (ESRD) (BY1)	1.093	1.011		`CMS_HCC_RiskScore_ESRD_BY1`
Risk Scores	End-Stage Renal Disease (ESRD) (BY2)	1.071	1.011		`CMS_HCC_RiskScore_ESRD_BY2`
Risk Scores	End-Stage Renal Disease (ESRD) (BY3)	1.097	1.006		`CMS_HCC_RiskScore_ESRD_BY3`
Risk Scores	End-Stage Renal Disease (ESRD) (PY)	1.029	0.967	p82	`CMS_HCC_RiskScore_ESRD_PY`
Utilization — Admissions & Visits	CT Scans (per 1,000)	751	751	p49	`P_CT_VIS`
Utilization — Admissions & Visits	E&M Visits — Primary Care (per 1,000)	6,086	4,192	p84	`P_EM_PCP_Vis`
Utilization — Admissions & Visits	E&M Visits — Specialist (per 1,000)	5,768	4,821	p71	`P_EM_SP_Vis`
Utilization — Admissions & Visits	E&M Visits — Total (per 1,000)	13,656	12,433		`P_EM_Total`
Utilization — Admissions & Visits	ED Visits (per 1,000)	663	618	p68	`P_EDV_Vis`
Utilization — Admissions & Visits	ED Visits Resulting in Hospitalization (per 1,000)	273	179		`P_EDV_Vis_HOSP`
Utilization — Admissions & Visits	FQHC / RHC Visits (per 1,000)	49	160	p34	`P_FQHC_RHC_Vis`
Utilization — Admissions & Visits	Hospital Admissions (per 1,000)	339	251	p95	`ADM`
Utilization — Admissions & Visits	Long-Term Admissions (per 1,000)	3	1		`ADM_L_Trm`
Utilization — Admissions & Visits	MRI Scans (per 1,000)	222	247	p30	`P_MRI_VIS`
Utilization — Admissions & Visits	Nurse Practitioner Visits (per 1,000)	1,754	2,464	p18	`P_Nurse_Vis`
Utilization — Admissions & Visits	Psychiatric Admissions (per 1,000)	4	3		`ADM_Psych`
Utilization — Admissions & Visits	Rehab Admissions (per 1,000)	16	15		`ADM_Rehab`
Utilization — Admissions & Visits	Short-Term Acute Admissions (per 1,000)	315	229		`ADM_S_Trm`
Utilization — Admissions & Visits	SNF Admissions (per 1,000)	69	40		`P_SNF_ADM`
Utilization — Admissions & Visits	SNF Average Length of Stay (days)	24	27	p12	`SNF_LOS`
Utilization — Admissions & Visits	SNF Average Payment per Stay	$12,527	$15,338	p8	`SNF_PayperStay`

Methodology

Data source: MSSP ACO Performance PY2024 (dataset ID: mssp-performance). Vintage: PY2024. Downloaded: 2026-04-13. Rows in source: 476.

MSSP ACO Performance reports financial and quality performance for Accountable Care Organizations participating in the Medicare Shared Savings Program. Savings/losses are calculated against risk-adjusted, regionally-weighted benchmarks.

Full methodology →